Análise do registro do processo de enfermagem mediado por tecnologia de informação: estudo de caso

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Egile nagusia: Pereira, Raphael Brandão
Argitaratze data: 2014
Formatua: Master thesis
Hizkuntza: por
Baliabidea: Repositório Institucional da UFG
Download full: http://repositorio.bc.ufg.br/tede/handle/tede/4604
Gaia: The information and communication technologies havebeen increasingly incorporated to nursing practices, to support the use and the record of nursing process, demanding the monitoring of its results achieved and intervenient factors on a continuous basis. The present study had the objective of providing an analysis of record of nursing process supported by communication and information technologies and the intervenient factors intervenient factors in the nurses’ perception. It is a study of a single integrated case, carried out at the neonatal intensive care unit of a university hospital, located at the Midwest region of the country, from January to April 2014. The new technologies consisted of a data collection/nursing development protocol, specific for a neonatal intensive care unit, and the use of support software to the diagnostic steps, health care planning (target, objective and prescription statements), implementation and evaluation. The data collection was held through the application of a questionnaire and data collected from nurses’ records at patients’ medical files. The study integrated unit consisted of seven nurses, who worked in the section before (from September to November 2010) and after (from September to November 2012) the implementation of the communication and information technologies to support the use and record of the nursing process. The level of application of the nursing process (NAPE) was classified from 1 to 5, according to its accuracy. The records number in each stage of the nursing process was calculated for each day of nursing attendance during the study period. The quantitative data was analyzed through descriptive statistics. The nurses’ statements on intervenient factors were analyzed using the Donabedian health assessment model (1984). There was an increase of records units by nursing service delivery days (UR/DAY), during data collection stages from 55.2 UR/DAE to 80.4% UR/DAE, new nursing diagnostic records to 0.3 UR/DAE, of targets and objectives (1.0 UR/DAE), and of nursing evaluation (0.2 UR/DAE). The stage of nursing prescription had a decrease from 2.1 UR/DAE to 1.9% UR/DAE and the implementation from 4.4 UR/DAE to 3.1 UR/DAE. It was possible to identify the record of more stages of the nursing process if compared with the period before the new technologies started to be used. Nevertheless this increase was not so significant. Among the intervenient factors, time availability was considered enough for the nursing process (PE) application, and besides that, the record remained incipient. Nurses that reported receiving satisfactory or very satisfactory training on the PE or on the use of new communication and information technologies, also reported more stages of the PE. Considering the strategic relevance of adequate record of nursing service delivery and of the legal and ethical requirement of the nursing process, even small improvements may be relevant. However, in general, it is possible to conclude that the insertion of new technologies associated to the training process did not have a significant impact in the stages of the nursing process at the context of the study.
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author Pereira, Raphael Brandão
author_browse Pereira, Raphael Brandão
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contributor_str_mv Bachion, Maria Márcia
Bachion , Maria Márcia
Galvão , Maria Cristiane Barbosa
Bezerra , Ana Lúcia Queiroz
Ribeiro-Rotta , Rejane Faria
Barbosa , Maria Alves
dc.contributor.advisor1.fl_str_mv Bachion, Maria Márcia
dc.contributor.advisor1Lattes.fl_str_mv http://lattes.cnpq.br/850390794436063
dc.contributor.author.fl_str_mv Pereira, Raphael Brandão
dc.contributor.authorLattes.fl_str_mv http://lattes.cnpq.br/8565275421428537
dc.contributor.referee1.fl_str_mv Bachion , Maria Márcia
dc.contributor.referee2.fl_str_mv Galvão , Maria Cristiane Barbosa
dc.contributor.referee3.fl_str_mv Bezerra , Ana Lúcia Queiroz
dc.contributor.referee4.fl_str_mv Ribeiro-Rotta , Rejane Faria
dc.contributor.referee5.fl_str_mv Barbosa , Maria Alves
dc.date.accessioned.fl_str_mv 2015-10-08T15:37:31Z
dc.date.issued.fl_str_mv 2014-09-29
dc.format.none.fl_str_mv application/pdf
dc.identifier.citation.fl_str_mv Pereira, R. B. Análise do registro do processo de enfermagem mediado por tecnologia de informação: estudo de caso. 2014. 123 f. Dissertação (Mestrado em Enfermagem) - Universidade Federal de Goiás, Goiânia, 2014.
dc.identifier.uri.fl_str_mv http://repositorio.bc.ufg.br/tede/handle/tede/4604
dc.language.iso.fl_str_mv por
dc.publisher.country.fl_str_mv Brasil
dc.publisher.department.fl_str_mv Faculdade de Enfermagem - FEN (RG)
dc.publisher.initials.fl_str_mv UFG
dc.publisher.none.fl_str_mv Universidade Federal de Goiás
dc.publisher.program.fl_str_mv Programa de Pós-graduação em Enfermagem (FEN)
dc.relation.cnpq.fl_str_mv -7702826533010964327
dc.relation.confidence.fl_str_mv 600
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dc.rights.driver.fl_str_mv http://creativecommons.org/licenses/by-nc-nd/4.0/
info:eu-repo/semantics/openAccess
dc.source.none.fl_str_mv reponame:Repositório Institucional da UFG
instname:Universidade Federal de Goiás (UFG)
instacron:UFG
dc.subject.cnpq.fl_str_mv CIENCIAS DA SAUDE::ENFERMAGEM
dc.subject.eng.fl_str_mv Nursing process
Nursing records
Health information systems
dc.subject.por.fl_str_mv Processos de enfermagem
Registros de enfermagem
Sistemas de informação em saúde
dc.title.alternative.eng.fl_str_mv Assessment of the record of nursing process intervened by communication and information technology: case study
dc.title.por.fl_str_mv Análise do registro do processo de enfermagem mediado por tecnologia de informação: estudo de caso
dc.type.driver.fl_str_mv info:eu-repo/semantics/masterThesis
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
description The information and communication technologies havebeen increasingly incorporated to nursing practices, to support the use and the record of nursing process, demanding the monitoring of its results achieved and intervenient factors on a continuous basis. The present study had the objective of providing an analysis of record of nursing process supported by communication and information technologies and the intervenient factors intervenient factors in the nurses’ perception. It is a study of a single integrated case, carried out at the neonatal intensive care unit of a university hospital, located at the Midwest region of the country, from January to April 2014. The new technologies consisted of a data collection/nursing development protocol, specific for a neonatal intensive care unit, and the use of support software to the diagnostic steps, health care planning (target, objective and prescription statements), implementation and evaluation. The data collection was held through the application of a questionnaire and data collected from nurses’ records at patients’ medical files. The study integrated unit consisted of seven nurses, who worked in the section before (from September to November 2010) and after (from September to November 2012) the implementation of the communication and information technologies to support the use and record of the nursing process. The level of application of the nursing process (NAPE) was classified from 1 to 5, according to its accuracy. The records number in each stage of the nursing process was calculated for each day of nursing attendance during the study period. The quantitative data was analyzed through descriptive statistics. The nurses’ statements on intervenient factors were analyzed using the Donabedian health assessment model (1984). There was an increase of records units by nursing service delivery days (UR/DAY), during data collection stages from 55.2 UR/DAE to 80.4% UR/DAE, new nursing diagnostic records to 0.3 UR/DAE, of targets and objectives (1.0 UR/DAE), and of nursing evaluation (0.2 UR/DAE). The stage of nursing prescription had a decrease from 2.1 UR/DAE to 1.9% UR/DAE and the implementation from 4.4 UR/DAE to 3.1 UR/DAE. It was possible to identify the record of more stages of the nursing process if compared with the period before the new technologies started to be used. Nevertheless this increase was not so significant. Among the intervenient factors, time availability was considered enough for the nursing process (PE) application, and besides that, the record remained incipient. Nurses that reported receiving satisfactory or very satisfactory training on the PE or on the use of new communication and information technologies, also reported more stages of the PE. Considering the strategic relevance of adequate record of nursing service delivery and of the legal and ethical requirement of the nursing process, even small improvements may be relevant. However, in general, it is possible to conclude that the insertion of new technologies associated to the training process did not have a significant impact in the stages of the nursing process at the context of the study.
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identifier_str_mv Pereira, R. B. Análise do registro do processo de enfermagem mediado por tecnologia de informação: estudo de caso. 2014. 123 f. Dissertação (Mestrado em Enfermagem) - Universidade Federal de Goiás, Goiânia, 2014.
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publishDate 2014
publishDateSort 2014
publisher.none.fl_str_mv Universidade Federal de Goiás
reponame_str Repositório Institucional da UFG
repository.mail.fl_str_mv grt.bc@ufg.br
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spelling Bachion, Maria Márciahttp://lattes.cnpq.br/850390794436063Bachion , Maria MárciaGalvão , Maria Cristiane BarbosaBezerra , Ana Lúcia QueirozRibeiro-Rotta , Rejane FariaBarbosa , Maria Alveshttp://lattes.cnpq.br/8565275421428537Pereira, Raphael Brandão2015-10-08T15:37:31Z2014-09-29Pereira, R. B. Análise do registro do processo de enfermagem mediado por tecnologia de informação: estudo de caso. 2014. 123 f. Dissertação (Mestrado em Enfermagem) - Universidade Federal de Goiás, Goiânia, 2014.http://repositorio.bc.ufg.br/tede/handle/tede/4604The information and communication technologies havebeen increasingly incorporated to nursing practices, to support the use and the record of nursing process, demanding the monitoring of its results achieved and intervenient factors on a continuous basis. The present study had the objective of providing an analysis of record of nursing process supported by communication and information technologies and the intervenient factors intervenient factors in the nurses’ perception. It is a study of a single integrated case, carried out at the neonatal intensive care unit of a university hospital, located at the Midwest region of the country, from January to April 2014. The new technologies consisted of a data collection/nursing development protocol, specific for a neonatal intensive care unit, and the use of support software to the diagnostic steps, health care planning (target, objective and prescription statements), implementation and evaluation. The data collection was held through the application of a questionnaire and data collected from nurses’ records at patients’ medical files. The study integrated unit consisted of seven nurses, who worked in the section before (from September to November 2010) and after (from September to November 2012) the implementation of the communication and information technologies to support the use and record of the nursing process. The level of application of the nursing process (NAPE) was classified from 1 to 5, according to its accuracy. The records number in each stage of the nursing process was calculated for each day of nursing attendance during the study period. The quantitative data was analyzed through descriptive statistics. The nurses’ statements on intervenient factors were analyzed using the Donabedian health assessment model (1984). There was an increase of records units by nursing service delivery days (UR/DAY), during data collection stages from 55.2 UR/DAE to 80.4% UR/DAE, new nursing diagnostic records to 0.3 UR/DAE, of targets and objectives (1.0 UR/DAE), and of nursing evaluation (0.2 UR/DAE). The stage of nursing prescription had a decrease from 2.1 UR/DAE to 1.9% UR/DAE and the implementation from 4.4 UR/DAE to 3.1 UR/DAE. It was possible to identify the record of more stages of the nursing process if compared with the period before the new technologies started to be used. Nevertheless this increase was not so significant. Among the intervenient factors, time availability was considered enough for the nursing process (PE) application, and besides that, the record remained incipient. Nurses that reported receiving satisfactory or very satisfactory training on the PE or on the use of new communication and information technologies, also reported more stages of the PE. Considering the strategic relevance of adequate record of nursing service delivery and of the legal and ethical requirement of the nursing process, even small improvements may be relevant. However, in general, it is possible to conclude that the insertion of new technologies associated to the training process did not have a significant impact in the stages of the nursing process at the context of the study.Tecnologias de comunicação e informação de diferentes tipos estão sendo empregadas na enfermagem para apoiar o uso e o registro do processo de enfermagem, gerando a necessidade de análise contínua dos resultados alcançados e dos fatores intervenientes. Esse estudo teve como objetivo analisar o registro do processo de enfermagem apoiado por tecnologias de informação e comunicação e os fatores intervenientes na percepção dos enfermeiros. Trata-se de um estudo de caso único integrado, realizado na UTI neonatal de um hospital de ensino da região centro-oeste do Brasil, de janeiro a abril de 2014. As novas tecnologias consistiram em um protocolo de coleta de dados/evolução de enfermagem, específico para o cenário de UTI neonatal, e um software de apoio ao uso das etapas de diagnóstico, planejamento (declaração de metas, objetivos, prescrições) e implementação e avaliação da assistência. Realizou-se coleta de dados mediante aplicação de questionário e extração de dados das anotações das enfermeiras nos prontuários. As unidades integradas do estudo de caso foram sete enfermeiras, que atuaram no setor antes (setembro a novembro de 2010) e após (setembro a novembro de 2012) a implantação das novas tecnologias de informação e comunicação para apoio ao uso e registro do processo de enfermagem. O nível de aplicação do processo de enfermagem (NAPE) foi classificado de 1 até 5, de acordo com sua completude. O número de registros de cada etapa do processo de enfermagem foi calculado para cada dia de atendimento de enfermagem no período estudado. Os dados quantitativos foram analisados por meio de estatística descritiva. Os depoimentos dos enfermeiros sobre os fatores intervenientes foram analisados à luz do modelo de avaliação em saúde de Donabedian (1984). Verificou-se aumento das unidades de registro por dias de atendimento de enfermagem (UR/DIA) na etapa de coleta de dados de 55,2 UR/DAE para 80,4 UR/DAE, surgimento de registros de diagnóstico de enfermagem para 0,3 UR/DAE, das metas e objetivos (1,0 UR/DAE), e da avaliação de enfermagem (0,2 UR/DAE). A etapa de prescrições de enfermagem apresentou diminuição de 2,1 UR/DAE para 1,9UR/DAE e a implementação de 4,4 UR/DAE para 3,1 UR/DAE. Verificou-se o registro de mais etapas do processo de enfermagem em comparação com o período em que as novas tecnologias não eram utilizadas. Contudo esse incremento foi pouco expressivo. Entre os fatores intervenientes, disponibilidade do tempo foi considerada suficiente para aplicação do PE e apesar disso,o registro permaneceu incipiente. Enfermeiras que relataram ter recebido capacitaçãosatisfatória ou muito satisfatória em PE e no uso das novas tecnologias de comunicação e informação registraram mais etapas do PE.Tendo em vista a importância estratégica do registro adequado do atendimento de enfermagem e da exigência ético legal do uso do processo de enfermagem, pequenos avanços podem ser relevantes, contudo, de modo geral, conclui-se que a inserção das novas tecnologias associada ao processo de capacitação não obteve impacto expressivo no registro das etapas do processo de enfermagem no cenário estudado.application/pdfhttp://repositorio.bc.ufg.br/tede/retrieve/20364/Disserta%c3%a7%c3%a3o%20-%20Raphael%20Brand%c3%a3o%20Pereira%20-%202014.pdf.jpgporUniversidade Federal de GoiásPrograma de Pós-graduação em Enfermagem (FEN)UFGBrasilFaculdade de Enfermagem - FEN (RG)http://creativecommons.org/licenses/by-nc-nd/4.0/info:eu-repo/semantics/openAccessProcessos de enfermagemRegistros de enfermagemSistemas de informação em saúdeNursing processNursing recordsHealth information systemsCIENCIAS DA SAUDE::ENFERMAGEMAnálise do registro do processo de enfermagem mediado por tecnologia de informação: estudo de casoAssessment of the record of nursing process intervened by communication and information technology: case studyinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/masterThesis45061628303650419816006006002756753233336908714-7702826533010964327reponame:Repositório Institucional da UFGinstname:Universidade Federal de Goiás (UFG)instacron:UFGLICENSElicense.txtlicense.txttext/plain; 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spellingShingle Análise do registro do processo de enfermagem mediado por tecnologia de informação: estudo de caso
Pereira, Raphael Brandão
Processos de enfermagem
Registros de enfermagem
Sistemas de informação em saúde
Nursing process
Nursing records
Health information systems
CIENCIAS DA SAUDE::ENFERMAGEM
status_str publishedVersion
title Análise do registro do processo de enfermagem mediado por tecnologia de informação: estudo de caso
title_full Análise do registro do processo de enfermagem mediado por tecnologia de informação: estudo de caso
title_fullStr Análise do registro do processo de enfermagem mediado por tecnologia de informação: estudo de caso
title_full_unstemmed Análise do registro do processo de enfermagem mediado por tecnologia de informação: estudo de caso
title_short Análise do registro do processo de enfermagem mediado por tecnologia de informação: estudo de caso
title_sort Análise do registro do processo de enfermagem mediado por tecnologia de informação: estudo de caso
topic Processos de enfermagem
Registros de enfermagem
Sistemas de informação em saúde
Nursing process
Nursing records
Health information systems
CIENCIAS DA SAUDE::ENFERMAGEM
url http://repositorio.bc.ufg.br/tede/handle/tede/4604